JERONIMO BERARDO (NPI# 1659893519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659893519 |
| Entity Type | Individual |
| Full Name | JERONIMO BERARDO |
| Credential | MD |
| Practice Address |
1620 W Harrison St Chicago IL 60612-3801 |
| Practice Telephone | (347) 988-2509 |
| Mailing Telephone | 3479882509 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036.153061 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1620 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376606491 | Pallavi P. Patwari | Pediatrics | 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 | 2006-12-19 |
| 1619574274 | Yejide Awolola | Registered Nurse | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-10-07 |
| 1922614635 | Gregory Martin Kasson | Nurse Anesthetist, Certified Registered | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-09-17 |
| 1124639398 | Rocio Naomi Bautista Sanchez | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-08-12 |
| 1912516667 | Raymond Vincent Garay | Nurse Practitioner | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-07-29 |
| 1407473218 | Milan Patel | Podiatrist | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-26 |
| 1326664491 | Cameron Calloway | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-24 |
| 1750907044 | Kirk Lydell Mccall II | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-22 |
| 1912523655 | Nikitaa Nath | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-18 |
| 1306461355 | Ashwin N Reddi | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| 1649618455 | Laura Thomason Dickens | Internal Medicine | 5758 S Maryland Ave # Mc1027, Chicago, IL 60637-1426 | 2013-06-13 |
| 1447593223 | Pinky Kurani | Internal Medicine | 2315 E 93rd St Ste 440, Chicago, IL 60617 | 2013-03-31 |
| 1255610622 | Farheen Kassim Dojki | Internal Medicine | 1801 W Taylor St Ste 1c, Chicago, IL 60612-4795 | 2011-08-16 |
| 1518282847 | Victoria Trendafilova | Internal Medicine | 835s Wolcott Ave 625e, Chicago, IL 60612-3748 | 2010-03-30 |
| 1023253531 | Stuart A Fine | Internal Medicine | 55 E Erie St, #3305, Chicago, IL 60611-2798 | 2008-12-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.